The key pain point in the RCM business is inefficient and insufficient follow-up of claims in an outsourced environment. Your limited visibility into the AR process creates surprises at the end of the month when you measure reimbursements against costs incurred.
Reimburssence provides the AR team with the information and the tools necessary to perform their main task – collections. Reimburssence pushes claims towards resolution, versus “working” the claims to preset patterns.
Teams using Reimburssence are “oriented” towards “closure,” since our clients do not benefit out of pushing claims from one bucket to another. Reimburssence is a catalyst that builds a “collection” work culture.
Analytics, Intelligence and Insight are three powerful drivers that enhance the effectiveness of Collections and Resolution.
An overused term, but within the Reimburssence a context helps measure the team’s collection efficiency. It also helps uncover trends from payer denial / underpayment behaviour.
Reimburssence provides insights on Collection Effectiveness based on the parameters you want measured, like resubmission or resolution effectiveness, appeals effectiveness, insurance resolution timelines and denial trends.
With Reimburssence you can find out the rate of first-touch resolution, number of claims crossing payer deadlines, number of claims with multiple touches / repeat touches, etc.
We’ve defined below the implications of Collection and Resolutions effectiveness, in terms of its specific benefits.